Provider Demographics
NPI:1033177910
Name:BAILEY, BETH ANN (MD)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:ANN
Last Name:BAILEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:186 MEDICAL PARK LOOP
Mailing Address - Street 2:SUITE 503
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5275
Mailing Address - Country:US
Mailing Address - Phone:828-586-7994
Mailing Address - Fax:828-586-7340
Practice Address - Street 1:186 MEDICAL PARK LOOP
Practice Address - Street 2:SUITE 503
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5275
Practice Address - Country:US
Practice Address - Phone:828-586-7994
Practice Address - Fax:828-586-7340
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC33773207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8912506Medicaid
NC8912506Medicaid
NCB58455Medicare UPIN